Three Sisters Community Care LLP

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question as good. At this assessment the rating has remained as good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Assessments were completed when people began receiving care. People and their relatives consistently told us that assessments were undertaken before care started and that reviews took place when needs changed. One relative commented, “They came straight round and did a full assessment.”

However, we found that some records indicated people identified as requiring a review had not always had this completed within the provider’s expected timescales. We determined this was a documentation issue, as evidence showed assessments and reviews were generally taking place, but recording did not consistently demonstrate this. We discussed our findings with the provider, who was receptive to feedback.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Where reviews had been completed people described reviews leading to practical changes; one told us, the service had identified a need to increase their call time to ensure they care could be provided safely, they stated, “Just a few weeks ago a review was done and my time was increased.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People said staff sought permission and respected decisions. One person explained, “They will say, ‘Do you want a wash now or later?” When asked staff told us they would always seek consent and would try different approaches if the person didn’t want to receive care, however if people continued to refuse than this was recorded and escalated where appropriate.